Meniscofibular ligament: how much do we know about this structure of the posterolateral corner of the knee: anatomical study and review of literature

Natsis, Konstantinos; Karasavvidis, Theofilos; Kola, Dimitris; Papadopoulos, Stavros; Totlis, Trifon

doi:10.1007/s00276-020-02459-x

Cited by 11 publications

(6 citation statements)

References 13 publications

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“…It has a tibial portion of large size (the lateral menisco‐tibial ligament) and a small proportion of posterior fibers leading to the head of the fibula (meniscofibular ligament). Previous anatomical studies have reported a prevalence of between 80 and 100% for the MFL [4, 20, 21]. It is thought that it is difficult to identify it by 1.5 T MRI due to its small size and topography.…”

Section: Discussionmentioning

confidence: 99%

“…The MFL was defined as a hypointense linear structure starting posterior to the lateral meniscus and extending to the fibular apex, anterolateral to popliteal tendon [20, 22]; the length was measured in sagittal view also at the medial region of the fibular head (Fig. 5).…”

Section: Methodsmentioning

confidence: 99%

“…Previous anatomical studies have reported a prevalence of between 80-100% for the MFL [4,20,21]. It is thought that it is difficult to identify it by 1.5T MRI due to its small size and topography.…”

mentioning

confidence: 99%

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MRI evaluation of the peripheral attachments of the lateral meniscal body: the menisco-tibio-popliteus-fibular complex

Morales-Ávalos

Masferrer-Pino

Ruiz-Chapa³

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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None CONFLICT OF INTEREST STATEMENTEach author certifies that neither he or she, nor any member of his or her immediate family, has funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Each author certifies that his or her institution approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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MRI evaluation of the peripheral attachments of the lateral meniscal body: the menisco-tibio-popliteus-fibular complex

Morales-Ávalos

Masferrer-Pino

Ruiz-Chapa³

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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“…That is the superior aspect of the popliteus hiatus. The inferior aspect of it, which runs along the inferior margin of the meniscus where a menisco-capsular junction is lacking, is wider standing at some 37 mm ( 14 , 15 ) ( Figure 4 ). In this area the meniscus in restrained only by the popliteo-meniscal fascicles, three synovial structures between the lateral meniscus and popliteus tendon.…”

Section: Gross Anatomymentioning

confidence: 99%

Anatomy of lateral meniscus

Perelli¹,

Avalos²,

Masferrer-Pino³

et al. 2022

Ann Joint

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The anatomy of the lateral meniscus underlies the understanding of its unique biomechanics. Moreover, the knowledge of its microscopic structure, its vascularization and its ligament insertions can make us understand the rationale for its surgical treatment. It is well known as the respect of the anatomy leads to better results in reconstructive surgery. Knowing the differences in the shape and in the areas of insertion of the meniscal roots can be useful in case of reinserting a root or when performing a meniscal transplant. Learning about the capsular insertions, the anchoring ligaments and the areas of greatest mobility of the lateral meniscus is useful during meniscal repair and replacement surgery. This information can let us choose the most appropriate technique and the best device to face any kind of meniscal lesion. In this article, we will consider both the micro and the macro meniscal structure in order to be able to give a description as complete as possible of this fundamental structure. We will consider the interrelation of the meniscus with the neighboring anatomical structures with which it contributes to the biomechanical control of the joint. It is important to understand the interrelation with both anterior and posterior cruciate ligament (PCL) given that frequently a combined meniscal and ligamentous reconstruction is necessary.

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“…Recently there has been anatomical focus on the importance of the relation between the lateral meniscus and the PLC; however, the clinical relevance of this ligamentous complex is still not well understood. 18 The stability of the proximal tibiofibular joint also plays a role. The incidence of disruption is reported at 9% in multiligament knee injuries, with evidence that subsequent stabilization of this joint plays a role in PLC repair and reconstruction outcomes.…”

Section: Anatomy and Biomechanicsmentioning

confidence: 99%

Posterolateral corner knee injuries: a narrative review

Figueroa

Putnis

et al. 2021

EFORT Open Reviews

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Limited knowledge of the anatomy and biomechanics of the posterolateral corner (PLC) of the knee, coupled with poor patient outcomes with non-operative management, resulted in the PLC often being labelled as the ‘dark side’ of the knee. In the last two decades, extensive research has resulted in a better understanding of the anatomy and function of the PLC, and has led to the development of anatomic reconstructions that have resulted in improved patient outcomes. Despite considerable attention in the clinical orthopaedic literature (nearly 400 articles published in the last decade), a standardized algorithm for the diagnosis and treatment of the PLC is still lacking, and much controversy remains. Considering the literature review, there is not a reconstruction technique that clearly prevails over the others. As anatomic, biomechanical, and clinical knowledge of PLC injuries continues to progress, finding the balance between re-creating native anatomy and safely performing PLC reconstruction provides a big challenge. Treatment decisions should be made on a case-by-case basis. Cite this article: EFORT Open Rev 2021;6:676-685. DOI: 10.1302/2058-5241.6.200096

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Meniscofibular ligament: how much do we know about this structure of the posterolateral corner of the knee: anatomical study and review of literature

Cited by 11 publications

References 13 publications

MRI evaluation of the peripheral attachments of the lateral meniscal body: the menisco-tibio-popliteus-fibular complex

MRI evaluation of the peripheral attachments of the lateral meniscal body: the menisco-tibio-popliteus-fibular complex

Anatomy of lateral meniscus

Posterolateral corner knee injuries: a narrative review

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